Coarctation of the Aorta as a Rare Indirect Cause of Aneurysmal Subarachnoid Hemorrhage in the Adolescent: A Case Report and Review of the Literature.
Michael VeldemanAnke HölligHans ClusmannGerrit Alexander SchubertPublished in: Journal of neurological surgery. Part A, Central European neurosurgery (2021)
Aneurysmal subarachnoid hemorrhage (SAH) is rare in teenagers. We present the case of a 19-year-old woman with an aneurysmal SAH and four anterior circulation aneurysms. Due to the urgency of operative treatment, no initial conventional cerebral angiography was performed. The CT angiography depicted the aortic arch incompletely. The coarctation was discovered on day 5 after ictus in a cerebral angiography for vasospasm surveillance. We believe that in young SAH patients without an explainable predilection for aneurysm formation, imaging of the aortic arch during the initial CT angiography, not to miss a coarctation of the aorta, is highly recommended.
Keyphrases
- subarachnoid hemorrhage
- optical coherence tomography
- end stage renal disease
- computed tomography
- newly diagnosed
- aortic valve
- pulmonary artery
- public health
- ejection fraction
- chronic kidney disease
- coronary artery
- young adults
- cerebral ischemia
- brain injury
- prognostic factors
- mental health
- peritoneal dialysis
- arterial hypertension
- combination therapy
- middle aged
- photodynamic therapy
- patient reported
- fluorescence imaging